Healthcare Provider Details

I. General information

NPI: 1992926281
Provider Name (Legal Business Name): CHARLIE C. YANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 S DOWNING ST SUITE 100
DENVER CO
80210-5847
US

IV. Provider business mailing address

2535 S DOWNING ST SUITE 100
DENVER CO
80210-5847
US

V. Phone/Fax

Practice location:
  • Phone: 720-524-1367
  • Fax: 720-524-1422
Mailing address:
  • Phone: 720-524-1367
  • Fax: 720-524-1422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberDR-44554
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberDR-44554
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: